Giant eccrine hidrocystoma presenting with unilateral ptosis and epiphora.

Purpose: To report the presentation and management of an atypical and advanced case of hidrocystoma of the eyelids with associated functional complications.

Methods: Interventional case report with clinical photographs at presentation, intra-operative photographs, and histology.

Results: A 55-year-old lady who presented with massive upper and lower eyelid swellings causing mechanical ptosis and epiphora, respectively, was managed by surgical excision of the lesions. Histology confirmed eccrine hidrocystoma.

Conclusions: Eccrine hidrocystoma should be considered in the differential diagnosis of adnexal masses and such lesions may cause significant functional and cosmetic morbidity despite their histologically benign nature.